For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. The app will remind you when to get your second dose. If your doctor recommended you get tested, find a nearby COVID-19 testing site. Page one is in English and page two is in Spanish for each flyer. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. The Division of Health Care Financing and Policy (DHCFP) has created three flyers to provide information to Nevada Medicaid recipients on COVID-19 covered services, COVID-19 vaccines, and COVID-19 vaccination prioritization lanes. Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. Cost shares will be waived for in-network providers only. Your member ID card is your key to using your medical plan benefits. border-radius: 50%; COVID-19 testing remains an important part of keeping our families and communities safe. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. Cant reach your doctor? Serving California. . We use cookies on this website to give you the best experience and measure website usage. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? People who are diagnosed with COVID-19 may have long-term symptoms. If you have employer coverage, or an individual or family plan, you can get over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSIL/Prime Therapeutics pharmacy benefits. To access your member services, please visit your BCBS company. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Does Anthem expect any slowdown with claim adjudication because of COVID-19? The health of our members is always our top priority. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. Other self-insured health plans are responsible for the specific plan designs they choose to offer to their employees, and we will continue to work with them to administer their plan designs as directed. When member cost sharing has been waived (where permissible) by Anthem as outlined in this FAQ for COVID-19 testing and visits associated screening and/or tested for COVID-19, telehealth (video + audio) services, and in-network telephonic-only services, how does that impact provider reimbursement? Get the latest information on the COVID-19 vaccines. Arrive in 2 to 5 business days. %PDF-1.7 % Symptoms may appear 2-14 days after being around someone who has COVID-19. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. Providers who currently submit electronic claims are encouraged to do so. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. In addition, Anthems telehealth provider, LiveHealth Online, is another safe and effective way for members to see a physician to receive health guidance related to COVID-19 from home via a mobile device or computer with a webcam. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. Anthems affiliated health plans will waive cost shares for our fully-insured employer, individual, Medicare and Medicaid plan membersinclusive of copays, coinsurance and deductiblesfor COVID-19 test and visits and services during the visit when the purpose of the visit is to be screened and/or tested for COVID-19, including telehealth visits. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. Cost shares will be waived for emergency services related to COVID-19 testing or screening from either an in-network or out-of-network provider in Colorado. Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. The cost-sharing waiver includes copays, coinsurance and deductibles. Serving California. Cost sharing will be waived for members using Anthems authorized telemedicine service, LiveHealth Online, as well as care received from other providers delivering virtual care through internet video + audio services. For COVID-19 treatments via telehealth visits, Anthems affiliated health plans will cover telehealth and telephonic-only visits from in-network providers and will waive cost shares through January 31, 2021. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. Call our 24/7 Nurse Line for COVID-related health questions and advice. Blue Shield and Blue Shield Promise will cover most COVID-19 tests at no out-of-pocket cost to you for specified plans noted below. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. We are fielding questions about the outbreak from our customers, members, providers and associates. Use Psych Hub's resources to help you manage and cope in stressful times. Anthem is committed to working with and supporting our contracted providers. We are not seeing any impacts to claims payment processing at this time. Are there any in-network or out-of-network limitations on these guidelines? The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. Today, unless otherwise required under state and federal mandates as detailed below, Anthem health plans will suspend select prior authorization (PA) requirements, member cost sharing, claims review and handling protocols to allow health care providers to focus on caring for patients diagnosed with COVID-19: We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. Check your COVID-19 benefits by using the Sydney Health or Engage Wellbeing mobile app, logging into, or calling the Member Services number on your ID card. Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. The over-the-counter tests give results within 30 minutes. Cost share waiver extends to the end of the public health emergency. -webkit-border-radius: 50%; You may also receive a bill for any charges not covered by your health plan. Are COVID-19 tests covered? div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, By continuing to use this website, you consent to these cookies. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. Wash your hands or use hand sanitizer when entering their house or room. Effective April 3, 2020, and for the duration of and consistent with Colorados emergency orders, Anthem will cover the additional services outlined in those orders. who seek reimbursement for the administration of a COVID-19 vaccine must do so by using their encounter code and the COVID-19 vaccine administration Current Procedural Terminology (CPT) codes. What codes would be appropriate to consider for a telehealth visit with a patient who wants to receive health guidance during the COVID-19 crisis? And let them know if youve been in close contact with a person known to have COVID-19, or if you live in or have recently traveled to an area where the virus has spread. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. Eligible members can find an in-network doctorhereor access HorizonCareOnline through the Horizon Blue app,, Please note this coverage does not apply to LiveHealth Online visits. Where permissible, these guidelines apply to FEP members. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Download the Sydney Health app. To help reduce the burden on the states health care facilities and ensure members get the care they need when they need it, the cost-sharing waiver also applies totelemedicine visits, includingtelephonic visits. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. As the number of COVID-19 cases in New Jersey moves in the wrong direction, Horizon Blue Cross Blue Shield of New Jersey will continue to do whats right for our members and communities. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. An attending health care provider may order a test. The waiver of member out-of-pocket costs for COVID-19 treatment, which is not required by law, has been extended for an additional three months through March 31, 2021. Book an appointment online now with NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual of Houston, TX (77057). Members can rest assured that if they do fall ill with COVID-19, they will not need to pay any out-of-pocket costs or get a prior authorization for their treatment. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? In Kentucky: Anthem Health Plans of Kentucky, Inc. A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, COVID-19 vaccines for youth toolkit available, Monoclonal Antibodies Approved for Treatment of COVID-19 Infection (June 7, 2021), New COVID-19 Vaccine Codes and Vaccine Administration Codes, Medicaid Services Manual Chapter 400 Updated (April 29, 2021), Attention All Providers Performing COVID-19 Diagnostic Testing with Procedure Code 87426 (April 28, 2021), Maximizing efficient, high quality COVID-19 screenings (April 4, 2021), Encounter-Based Providers and COVID-19 Vaccine Billing (March 8, 2021), DHCFP COVID-19 covered services, vaccines, and vaccination prioritization lanes information for members (February 18, 2021), Rate Change for COVID-19 Testing Codes U0003 and U0004 (February 18, 2021), Attention Providers Who Wish to Enroll with Nevada Medicaid to Administer the COVID-19 Vaccine (January 5, 2020), COVID-19 Vaccine Administration Coverage and Billing (January 5, 2020). If you have any questions, please contact the Provider Service number on the back of the members ID card, or your Provider Solutions contact on our Escalation Contact List. Do these guidelines apply to members enrolled in the Blue Cross and Blue Shield Service Benefit Plan commonly referred to as the Federal Employee Program (FEP) through the Federal Employees Health Benefits Program? Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. Making healthcare affordable. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. The best way to prevent infection is to avoid being exposed to the virus. No cost share for diagnostic tests or treatment. Call the National Information Center weekdays from 8 a.m. to 8 p.m. Visit to order your free test kits. This modifier should be used for evaluation and testing services in any place of service including a physician's office, urgent care, ER or even drive-thru testing once available. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Our benefits already state that if members do not have appropriate access to network physicians that we will authorize coverage for out-of-network physicians as medically necessary. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. CMS has provided coding guidelines related to COVID-19 vaccines: *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. Blue Cross recommends that members contact and work closely with their health care . and the Nevada Health Response website at Call 911 if you see emergency warning signs like the below. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? FEP will increase access to prescription medications by waiving early medication refill limits on 30-day prescription maintenance medications. Horizon Blue Cross Blue Shield of New Jersey, Your Guide to No-Cost Testing and Treatment as COVID-19 Surges, COVID-19 Information Hub section on testing, Site-Neutral Payments Would Save Nearly $500 Billion Over 10 Years, Blue Cross Blue Shield Association Statement on Medicare Advantage Risk Adjustment Validation Rule, Blue Cross Blue Shield Association Policy Solutions Could Lower Health Care Costs by $767 Billion, Blue Cross Blue Shield Companies Form Synergie Medication Collective, a New Venture to Radically Improve Affordability and Access to Costly Medications for Millions of Americans, Congress Passes Meaningful Changes to Expand Mental Health Support, Improve Maternal Health, and Lower Costs for Consumers, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. If you have a Medicaid plan with us, you do not have to pay anything for the COVID-19 test or the doctor visit to get the test. Anthem is relaxing early prescription refill limits, where permitted, for members who have Anthem pharmacy benefits and wish to refill a 30-day supply of most maintenance medications early. Johns Hopkins University has resources to help you learn more about the disease. If you are not, please use our Test Site Finder to learn about options near you. Go to the main page on to log in and search for a doctor, or call the Member Services number on your ID card. hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Treatment that's safe and convenient Members can rest assured that if they do fall ill with COVID-19, they will not need to pay any out-of-pocket costs or get a prior authorization for their treatment. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health.